Alamo Heights United Methodist Weekday School

One out of ten children's files reviewed did not have an up-to-date immunization record.

When reviewing the operation policy, the section promoting indoor and outdoor play was not available for review.

Infant was observed swaddled in a sleep sack while being held by caregiver. The child has been using the sleep sack when sleeping in their crib without an Infant Sleep Exception/Health Care Professional Recommendation Form.

Five of ten staff records reviewed did not have documentation that they recieved a copy of the operational policies.

Three of ten children's records reviewed did not have updated immunization records.

Caregiver did not wash child's hands after changing diaper.

Five of ten staff records reviewed for annual training did not have training for prevention, recognition, and reporting of child maltreatment.

Six of ten staff records reviewed for annual training did not have training for: emergency preparedness, preventing and controlling the spread of communicable diseases, administering medication, preventing and responding to emergencies due to food or an allergic reaction, understanding building and physical premises safety, and handling, storing, and disposing of hazardous materials.

Six of ten staff did not have required orientation training.

The operation's emergency preparedness plan did not include how staff will continue to care for children until each child has been released.

One of ten children's records reviewed did not have a statement of the child's health from a health-care professional.

Two children with diagnosed allergies had epi pens that were expired and stored in the classroom.

4 out of the 5 children enrolled with diagnosed food allergies did not have a food allergy plan on file. 1 out of the 5 children enrolled had a food allergy plan on file, but was not signed by by the child's parent(s).

A child had medication on file that was not in it's original container labeled with the child s full name and the date brought to the operation.

Some of the infant cribs were not labeled either with first name & last initial or by utilitizing a number chart.

An fourteen month old infant was placed in a baby walker by caregiver. This was corrected at inspection caregiver removed the infant and director, removed the walker from the classroom.